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Screening for Barrett’s esophagus: accuracy of exhaled breath analysis using an electronic nose device

Recruiting
Conditions
Barrett's esophagus
Registration Number
NL-OMON21425
Lead Sponsor
Radboudumc
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
980
Inclusion Criteria

Aged 18 years or older
-Undergoing a clinically indicated (surveillance) endoscopy
-Able to give signed informed consent
1.Patients with known BE (defined as =1 cm of columnar mucosa with histopathologic confirmation of intestinal metaplasia without dysplasia)
2.Individuals with GERD symptoms without BE (GERDQ-score =8 or the endoscopic presence of reflux esophagitis)
3.‘Healthy’ controls without BE or GERD

Exclusion Criteria

-Patients with a history of any type of malignancy (not including basal-cell skin cancer (BCC) and squamous-cell skin cancer (SCC))
-Prior surgical esophageal or gastric resection or prior ablative therapy
-Patients who are unable to perform breathing maneuver needed for Aeonose-analysis of exhaled breath

Withdrawal criteria after initial study inclusion:
Patients can be withdrawn from the study if:
-Incomplete upper endoscopy
-Active H. Pylori infection
-BE segment <1cm or no intestinal metaplasia in the esophagus
-Intestinal metaplasia in the stomach

Study & Design

Study Type
Observational non invasive
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Sensitivity and specificity of the eNose for detecting BE with the diagnosis made by upper endoscopy as the reference standard.
Secondary Outcome Measures
NameTimeMethod
-Acceptance rates for breath testing <br>-Patient acceptability of the eNose procedure<br>-Technical or patient related problems obtaining a read-out from the Aeonose™<br>-Accuracy of the eNose with which it could distinguish patients with BE from patients with GERD<br>-Reproducibility by repeated testing<br>-Effect of PPI use on the accuracy of the eNose for detecting BE<br>
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